Illinois Department Of Public Health ESF-8 Plan
Illinois Department of Public Health ESF-8 Plan2018Illinois Department of Public Health ESF-8PlanPublic Health and Medical ServicesFebruary 2018
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Illinois Department of Public Health ESF-8 Plan2018ForewordThe world experiences hundreds of natural and manmade disasters every year. Disasterplanning is the means for anticipating these events and preparing for the situations that result.Its purpose is not to reduce the likelihood of disaster but to identify steps to be taken prior toan event to improve the level of preparedness.This document constitutes the Illinois Department of Public Health Emergency Support Function8 (ESF-8) Plan. It serves to guide Illinois Department of Public Health (IDPH) response incoordination with the state of Illinois’ response activities in the event of a public health andmedical emergency. The IDPH ESF-8 Plan is to be complimentary to the Illinois EmergencyOperations Plan (IEOP).This plan was developed through a collaborative process involving IDPH offices and divisionsand partner state agencies that have a response role.Nirav D. Shah, M.D., J.D.DirectorIllinois Department of Public Health1
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Illinois Department of Public Health ESF-8 Plan2018Table of Contents1.0 Introduction . 71.11.21.31.41.5Purpose . 7Scope . 7Situation. 8Assumptions . 9Applicability . 102.0 Concept of Operations . 102.12.22.32.4General . 10Activation . 11Levels of Response. 11Organization . 123.0 Roles and Responsibilities. 143.1Primary Agency - Illinois Department of Public Health (IDPH) . 143.1.1Office of the Director . 153.1.2Office of Preparedness and Response (OPR) . 173.1.3Office of Health Protection (OHP). 213.1.4Office of Health Care Regulation (OHCR) . 233.1.5Office of Information Technology (OIT) . 243.1.6Office of Finance and Administration (OFA) . 243.1.7Office of Human Resources (OHR) . 243.1.8Office of Policy, Planning & Statistics (OPPS). 253.1.9Other IDPH Offices . 253.2Support Agencies/Facilities/Organizations. 253.2.1Regional Healthcare Coalition (HCC). 253.2.2Regional Hospital Coordinating Center (RHCC) . 253.2.3Resource Hospitals . 263.2.4Associate and Participating Hospitals . 273.2.5Local Health Departments (LHD) . 273.2.6Emergency Medical Services (EMS) Providers . 283.2.7American Red Cross (ARC) . 283.2.8Illinois Department of Agriculture (IDOA). 293.2.9Illinois Department of Central Management Services (CMS) . 293.2.10 Illinois Department of Children and Family Services (DCFS) . 303.2.11 Illinois Department of Corrections (IDOC) . 303.2.12 Illinois Department of Financial and Professional Regulation (IDFPR) . 303.2.13 Illinois Department of Healthcare and Family Services (HFS) . 313.2.14 Illinois Department of Human Services (IDHS) . 313.2.15 Illinois Department of Transportation (IDOT) . 323.2.16 Illinois Department of Veteran’s Affairs (IDVA) . 323.2.17 Illinois Department on Aging (IDoA) . 333.2.18 Illinois Emergency Management Agency (IEMA) . 333.2.19 Illinois Environmental Protection Agency (IEPA) . 343.2.20 Illinois National Guard (ILNG) . 343.2.21 Illinois State Police (ISP) . 353.2.22 Illinois Medical Emergency Response Team (IMERT) . 353
Illinois Department of Public Health ESF-8 302018Illinois Public Health Mutual Aid System (IPHMAS) . 36Illinois Poison Center (IPC) . 36Mutual Aid Box Alarm System (MABAS) . 37Medical Examiners/Coroners . 37Illinois Coroners and Medical Examiners Association (ICMEA). 37Disaster Mortuary Operational Response Team (DMORT). 37Great Lakes Healthcare Partnership (GLHP) . 37Other Non-Governmental Organizations (NGO) . 384.0 Authority for Direction and Control. 384.14.2Authority . 38Direction and Control Points . 395.0 Communications Technology . ication . 40Electronic Mail . 41Health Alert Network/State of Illinois Rapid Electronic Notification (SIREN) . 42Starcom 21 Interoperable Communication Platform . 42Hospital Bypass/State Disaster Reporting System . 42WebEOC . 43Comprehensive Emergency Management Program (CEMP). 43EMTrack . 43Illinois HELPS . 43Illinois Radio Emergency Assistance Channel (IREACH) . 43Medical Emergency Radio Communications of Illinois (MERCI). 44Ham/Satellite radio. 44Public and Crisis Information (Risk Communication) . 446.0 Recovery . 466.16.2Demobilization. 46Debriefing . 467.0 Plan Development and Maintenance . 478.0 Authorities and References . 478.18.2Authorities . 47References . 48Attachments. 49IDPH ESF-8 Plan Annexes1. Pediatric and Neonatal Surge Annex2. Burn Surge Annex3. Catastrophic Incident Response Annex4
Illinois Department of Public Health ESF-8 Plan2018Record of RevisionsDateJuly 2014December2017Section(s) UpdatedOriginal document finalized (replaces previous document titled Illinois Health andMedical Care Response Plan – September 2010) Updated State Incident Response Center (SIRC) to State Emergency OperationsCenter (SEOC) throughout document 1.2 Revised to reflect updated federal Capability designations 1.3 Updated hazards to include Cyber Threat 1.5 Added Regional Healthcare Coalitions 2.3 Updated Levels of Response 2.4 Added language to reflect geographic organizational structure 2.4.1 Updated to include regional level; added hospitals and regional HCCs 3.1.1 Updated to include TMTS authority 3.1.2.1.3 Added STIC and PHIS 3.1.2.2.2 Added EMSC program 3.1.2.2.3 Added state Trauma System 3.1.2.4 Added Serve Illinois Commission 3.1.8 Added OPPS (Division of Vital Records moved to OPPS) 3.2.1 Added Regional HCC 3.2.2.7 Updated to include TMTS collaboration 3.2.5.7 Updated to include TMTS collaboration 3.2.10 Added IDCFS as a support agency 3.2.12 Added IDFPR as a support agency 3.2.13 Added IDHFS as a support agency 3.2.29 Added GLHP 4.2.9 Added regional HCC 5.5 Updated hospital bypass to reflect EMResource system 5.6 Added WebEOC 5.8 Added EMTrack 5.9 Added Illinois HELPS Removed RightFax Removed EMnet 5.13.3 Added information on JIC; IDPH PIO Workgroup structure; ISS 8.1 Added IL Statutes and Administrative Code authorities 8.2 Added references- IPRA- Illinois Statewide Child Care Emergency Preparedness and Response Plan (IDHS)- GLHP Communication Plan- Illinois SNS planAdded Attachments Activation Pathway IDPH IMT Activation Levels IEMA map Regional HCC directory Hospital Medical Supply Bag Inventory5
Illinois Department of Public Health ESF-8 Plan Border State Communication ProcessesCommunication PathwayResource Request formMedical Surge Care Sites62018
Illinois Department of Public Health ESF-8 Plan20181.0 IntroductionLocal health departments (LHDs), collaboratively working with hospitals, emergency medicalservices, long-term care facilities, other health care providers, and jurisdictional health andmedical sites, have the primary responsibility for mitigation, preparedness, response, andrecovery from disasters and emergencies that may create a health and medical threat in theircity and/or county. When the capabilities/resources of the LHD and its jurisdictional partnersare exceeded, regional, state, and federal assistance is available.Per Illinois statute (210 ILCS 50/3.255), the Illinois Department of Public Health (IDPH) shalldevelop and implement an emergency medical disaster plan to assist and support emergencymedical services personnel and health care facilities in public health emergencies. The stateemergency medical disaster plan, hereinafter titled the IDPH Emergency Support Function 8:Public Health and Medical Services Plan (IDPH ESF-8 Plan), is the guide for IDPH emergencyresponse and recovery operations, outlining specific actions in support of LHDs, hospitals,emergency medical services, long-term care facilities, and health and medical center siteresponse and recovery activities. This IDPH ESF-8 Plan supports the public health and medicalcare component, as required in the Illinois Emergency Operations Plan (IEOP). In addition to thebase IDPH ESF-8 Plan, there are annexes that address considerations for specific populationsand/or incidents (see annex list pg. 4).1.1PurposeThe purpose of the IDPH ESF-8 Plan is to provide operational guidance, detailing publichealth and medical preparedness, response, and recovery actions to prevent orminimize injury or illness to people and damage to property resulting from emergenciesor disasters of natural or manmade origin. Such hazards would potentially cause severeillness, injury, and/or fatalities on a scale sufficient to overwhelm local public health ormedical services capabilities. The IDPH ESF-8 Plan provides the mechanism forcoordinated state assistance to supplement local and regional resources to public healthand medical care needs during emergency events. The IDPH ESF-8 Plan establishes aframework that may be utilized by sub-state regional ESF-8 plans (i.e. Regional MedicalDisaster Preparedness and Response plans). The IDPH ESF-8 Plan does not dictatetactical or operational actions for any other Authority Having Jurisdiction (AHJ).1.2ScopeThe IDPH ESF-8 Plan applies broadly to IDPH services, program areas, response partners,and staff involved in response and recovery activities. This plan provides the commandstructure, communications protocol, requests for resources (RFR) process, and theprocedure for the inter-regional transfer of medical supplies and equipment as theyrelate to IDPH. This plan is also intended to be coordinated with those federalgovernment agencies that may be called upon to provide or support emergency medicalassistance when state resources are overwhelmed. Local and regional planning is7
Illinois Department of Public Health ESF-8 Plan2018intended to coordinate with and be supported by the structure the IDPH ESF-8 Planprovides. The scope of this plan focuses on the following capabilities:Public Health Emergency Preparedness (PHEP)CapabilitiesHealth Care Preparedness and Response(HPP) Capabilities1. Community Preparedness2. Community Recovery3. Emergency Operations Coordination4. Emergency Public Information and Warning5. Fatality Management6. Information Sharing7. Mass Care8. Medical Countermeasure Dispensing9. Medical Materiel Management andDistribution10. Medical Surge11. Non-Pharmaceutical Interventions12. Public Health Laboratory Testing13. Public Health Surveillance andEpidemiological Investigation14. Responder Safety and Health15. Volunteer Management1. Foundation for Health Care and MedicalReadiness2. Health Care and Medical ResponseCoordination3. Continuity of Health Care Service Delivery4. Medical Surge1.3SituationThe IDPH ESF-8 Plan highlights the pivotal role of the public health and medical servicesin emergency preparedness and response. A major statewide emergency that maycause numerous fatalities, severe illness and/or injuries, disruption of normal lifesystems, and possible property loss will have a powerful impact on Illinois’ economic,physical, and social infrastructures. To prepare for and respond to an emergency ofgreat severity and magnitude will require rapid response, surveillance, dependablecommunication systems, a trained and available workforce, and volunteers to helpperform essential tasks. All these efforts must be anticipated and coordinated.Per the IEOP, Illinois has identified the following hazards that have the potential tocause a public health emergency: Severe weatherTornadoFloodDroughtExtreme Heat or ColdSevere Winter StormEarthquake8
Illinois Department of Public Health ESF-8 Plan 2018Food and/or Water contaminationHaz-Mat – ChemicalHaz-Mat – RadiologicalDam FailureTerrorism and/or intentional criminal actsCyber ThreatCivil DisobediencePublic Health EpidemicAgricultural EpidemicThe IDPH ESF-8 Plan may be activated when the State Emergency Operations Center(SEOC) is activated and/or at the discretion of the IDPH Director when circumstancesdictate. It can be partially or fully implemented in the context of a threat, in anticipationof a significant event, or in response to an incident. Scalable implementation allows forappropriate levels of IDPH resource coordination.1.4Assumptions1. Local governments, as the Authority Having Jurisdiction (AHJ), have primaryresponsibility for initial response and recovery actions for disasters.2. The Illinois Emergency Management Agency (IEMA) is the AHJ for the state of Illinoiswhen disaster response and recovery actions exceed the capabilities of localgovernments.3. IDPH is the primary agency for public health and medical disaster response andrecovery actions for the state.4. Federal agencies will support health and medical operations as requested by thestate of Illinois.5. Secondary or cascading events will increase complexity and magnitude of publichealth impacts.6. LHDs will notify local emergency management agencies (EMAs), Regional Hospi
2.4.1 Updated to include regional level; added hospitals and regional HCCs 3.1.1 Updated to include TMTS authority 3.1.2.1.3 Added STIC and PHIS 3.1.2.2.2 Added EMSC program 3.1.2.2.3 Added state Trauma System 3.1.2.4 Added Serve Illinois Commission 3.1.8
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Illinois Public Act 096-1331, the Illinois Health Information Exchange and Technology Act. Generally, the mission of the PHWG is to provide guidance and recommendations to the HIE Advisory Committee or its successors on the exchange of data relevant to public health between HIEs that operate in Illinois and Illinois public health agencies.
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